Momentum Medical Group of Idaho LLC
Momentum Medical Group of Idaho LLC provides Family Medicine Physician services in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8854 W Emerald St Ste 275Boise, ID 83704-4860
Phone: (208) 375-3201
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1417737594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heather Beard — Billing Service · (208) 880-0883 |
| NPI enumerated | October 4, 2023 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | 8854 W Emerald St Ste 140, Boise, ID 83704-4845 |
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Dale L Mock, MD
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Dr. John J Mohr, MD
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